Bill To:


Ashley Shine
1909 FM-664
Ferris, TX 75125

Services Rendered To:


Ashley Shine
1909 FM-664
Ferris, TX 75125
POLICY# BGS01020258


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Product
Price
Qty
Amount
  1. 405 Medical Extrication – Lvl 1

    Patient

    Ashley Shine
    1909 E FM 664
    Ferris, TX 75125
    POLICY# BGS01020258

    $500.00
    1
    $500.00

  2. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: 9000 Block Fm 215- Valley Mills, TX

    Ordinance Info: Recovery of Services Costs for Turnersville VFD

Subtotal $500.00
Total Due $500.00


Updated
October 23, 2023 @ 10:35 am

Invoice updated by Geoffrey.

Updated
January 23, 2024 @ 2:33 pm

Invoice updated by Geoffrey.

Updated
January 23, 2024 @ 2:33 pm

Invoice updated by Geoffrey.